Visceral Vessels and Aortic Repair: Challenges and Difficult Cases

by Yamume Tshomba (Editor), Domenico Baccellieri (Editor), Roberto Chiesa (Editor)

Overview

This book shows how new technologies and technical skills together with deeper understanding of pathophysiology of visceral and renal ischemia have contributed to significant improvements in the clinical outcomes in patients undergoing complex aortic repair involving splanchnic arteries.
In recent years, aortic repair has expanded its borders, focusing more and more on the particularly challenging segments from which critical branches originate. Optimal results in this area are obtained through a multidisciplinary approach based on crucial elements such as sophisticated imaging techniques, advanced anesthesiological and pharmacological strategies, as well as updated surgical techniques and devices able to reduce ischemic injuries.
The book presents problems tackled from different perspectives, by analyzing the main technical aspects of the surgical technique but also functional and metabolic issues. It also discusses concepts such as ischemic preconditioning and ischemia-reperfusion mechanisms, as well as innovative investigational approaches. In the “endovascular era”, it highlights the most recent updates in complex endovascular repair involving renal and visceral arteries, providing both practical tips and tricks and outcomes analyses.
The volume also addresses specific, rarely reported problems in vascular surgery, including issues in renal transplant, oncologic surgery with involvement of splanchnic arteries and of the vena cava, and use of the deep veins in aortic surgery.
This volume represents a powerful tool for both young and experienced operators who wish to approach the complex aortic pathology either by open surgery or through endovascular methods.”

Product Details

ISBN-13:	9783319947617
Publisher:	Springer-Verlag New York, LLC
Publication date:	04/10/2019
Sold by:	Barnes & Noble
Format:	eBook
File size:	168 MB
Note:	This product may take a few minutes to download.

About the Author

Yamume Tshomba, MD, graduated from the University of Milan (Italy) and was awarded the Specialization in Vascular Surgery cum laude by the University of Siena (Italy). He’s currently Professor of  Vascular Surgery and Vascular Surgery Residency Program Director at Catholic University of the Sacred Heart Roma, (Italy). He’s also Head of Vascular Surgery at Policlinico A. Gemelli, Roma, (Italy). Until April 2018 he has been Associate Professor of Vascular Surgery at the Università Vita-Salute San Raffaele, Milano (Italy). He’s a member of the Society for Vascular Surgery (SVS), the European Society for Vascular and Endovascular Surgery (ESVS), the Italian Society for Vascular and Endovascular Surgery (SICVE), and the French Society for Vascular and Endovascular Surgery (SCVE). He’s Associate Editor of the International Journal of Cardiology and member of the editorial board of the Journal of Cardiothoracic and Vascular Anesthesia. He has authored more than 270 scientific publications including peer-review papers, books and book chapters. He’s principal or co-investigator of several clinical trials in the field of robotic, vascular and endovascular surgery.

Domenico Baccellieri, MD, graduated from the University of Messina (Italy) and was awarded the Specialization in Vascular Surgery cum laude by the Vita-Salute San Raffaele University of Milan (Italy). During his residency he was fellow at Leicester University (UK) in 2005. In 2008 he completed the postgraduate Master Course in Aortic Surgery. He is currently working as Staff Surgeon at the Vascular Surgery Department of the San Raffaele Hospital, Milano (Italy) and is Head of San Raffaele’s Vascular Diagnostic Center.

Since 2015 he has been Adjunct Professor of Vascular Surgery at Vita-Salute San Raffaele University and Scientific Coordinator of the postgraduate Master Course in Aortic Surgery. He’s Principal or Co-investigator of several clinical trials in the field of vascular and endovascular surgery. He is member of the most prestigious Italian and International Vascular Surgery Societies.

Roberto Chiesa, MD, graduated from the University of Milan (Italy) and was awarded the Specialization in General Surgery and Vascular Surgery cum laude by the same university. He also completed Specialization in Cardiac Surgery. He’s Full Professor of Vascular Surgery and Vascular Surgery Residency Program Director at Vita-Salute San Raffaele University, Milano (Italy). He’s also Head of Vascular Surgery at San Raffaele Hospital, Milano (Italy). Member of the most prestigious Italian and International Vascular Surgery Societies, he was also president of the French Society for Vascular and Endovascular Surgery (SCV) in 2013 and of the Italian Society for Vascular and Endovascular Surgery (SICVE) in 2015. He’s Associate Editor of Annals of Vascular Surgery and the International Journal of Cardiology and member of the Editorial board of the Journal of Cardiovascular Surgery and the Italian Journal of Vascular and Endovascular Surgery. He has authored more than 700 scientific publications including peer-review papers, books and book chapters. He’s Principal or Co-investigators of several clinical trials in the field of robotic, vascular and endovascular surgery. Participant in several trials and registries for development and evaluation of thoracic and abdominal aortic stent-grafts for the treatment of aneurysms and dissections. Currently he has the largest series of thoracoabdominal aortic aneurysms and dissections open repair in Italy.

Table of Contents

Anatomical overview and imaging of the aorta and visceral arteries .- Physiopathology and anaesthesiological management of supravisceral aortic clamping.- Perioperative renal pharmacological protection during cardiovascular surgery.- Renal protection during open aortic surgery with Custodiol solution.- Renal artery stenosis associated with aortic disease: timing and outcomes of operative management.- Renal arteries anatomic abnormalities during open abdominal aortic repair.- Renal transplantation and aortic disease: operative management.- Pulsatile perfusion of kidney allografts.- Endovascular aortic repair:  the renal side of the story.- Challenging infrarenal aortic necks in EVAR:  devices evolution, long-term results  and new concepts .- Open repair of pararenal aneurysms: renal vessels surgical management.- Endovascular repair of pararenal aortic aneurysms: the management of visceral arteries with fenestrated technology.- Emergency kit for chimney technique for ruptured abdominal aortic aneurysm.- Current treatment options for complex aortic pathology with visceral arteries involvement between open and endo: single center experience.- Aortic “coral reef” with visceral arteries involvement: treatment options.- Thoracoabdominal aortic aneurysm open repair: visceral arteries reattachment strategies.- Sutureless anastomosis during thoracoabdominal aortic repair.- Tissue ischemia during aortic surgery. The point of view of the perfusionist.- Ischemic preconditioning: the rationale and evidence based outcomes.- Intraoperative neurophysiologic monitoring during aortic surgery: basic principles and clinical experience.- Long-term patency of visceral vessels after thoracoabdominal aortic repair.- Fate of Carrel patch after thoracoabdominal aortic repair: treatment options for recurrent aneurysms.- Total endovascular repair of thoracoabdominal aortic aneurysms: lessons learned.- The SpiderGraft for Thoracoabdominal Aortic Repair: rationale and indications.-Visceral ischemia during type B dissection: incidence, prognostic value, diagnosis and operative management.- Visceral ischemia during acute type B dissection: limits of current approaches and new perspective.- Epidemiology, diagnosis and clinical management of arteritis involving visceral vessels.- Visceral arteries involvement in Takayasu patients:  treatment options.- Aortic infection with visceral arteries involvement in the endovascular era:  treatment options.- Deep vein reconstruction for infective aortic syndromes with visceral arteries involvement.- Vena cava oncologic surgery.- Rerouting of visceral arteries during hybrid thoracoabdominal aortic repair: a still useful solution in highly selected case.